Displaying 41 - 60 of 674
| Contract Number | Brand Code | Drug | LAgent Code | Drug Contract Start Date | Drug Contract End Date | Formulary Category | Package Size | Protocol Monthly Max | Package Price | Contract Changed | Change Date | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 41 | 0153DH | AMOXICILLIN 500MG TAB (MCP) | AHI | 2024-04-01 | 2024-12-27 | A | 10X10 | 28 | 10.03 | 2023-10-30 | |||
| 41 | 0153DH | AMOXICILLIN 500MG TAB (MCP) | AHI | 2024-12-28 | 2026-03-31 | A | 10X10 | 28 | 11.4 | 2024-12-27 | |||
| 40 | 7726CK | AMOXICILLIN | CLAVULANIC ACID 1G | 0.2G INJ (CHC/ATB) | ATB | 2022-04-01 | 2024-03-31 | B | 1.2G VIAL | 0 | 3.23 | Price Change | 2021-12-03 | ||
| 40 | 7722BV | AMOXICILLIN | CLAVULANIC ACID 875MG | 125MG TAB (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | B | 2X10 | 14 | 7.75 | 2022-03-30 | |||
| 41 | 7722CP | AMOXICILLIN|CLAVULANIC ACID 875MG|125MG TAB (MCP) (B) | AHI | 2024-12-28 | 2026-03-31 | B | 2X10 | 21 | 8.09 | 2024-12-27 | |||
| 40 | 0164AU | AMPICILLIN 500MG INJ (CHC/ATB) | ATB | 2022-04-01 | 2024-03-31 | BQ | 500MG VIAL | 0 | 0.82 | Price Change | 2021-12-03 | ||
| 40 | 0164AM | AMPICILLIN 500MG INJ (KWA/ATB) | ATB | 2022-04-01 | 2022-09-30 | BQ | 500MG VIAL | 0 | 0.90 | 2022-03-30 | |||
| 41 | B5012 | ANORO ELLIPTA 55MCG|22MCG INHR (GSK) UMECLIDINIUM|VILANTEROL (BQ) | COL | 2024-04-01 | 2024-07-16 | BQ | 30 DOSES | 1 | 108.68 | 2024-07-16 | |||
| 41 | B5012 | ANORO ELLIPTA 55MCG|22MCG INHR (GSK) UMECLIDINIUM|VILANTEROL (BQ) | COL | 2024-07-17 | 2026-03-31 | BQ | 30 DOSES | 1 | 163.94 | 2024-07-17 | |||
| 40 | 3921K | ANTIPLAR 75MG TAB (EMC/COL) CLOPIDOGREL | COL | 2022-05-31 | 2022-12-31 | A | 100'S | 30 | 9.51 | 2022-05-31 | |||
| 40 | 7911AA | APO-CYCLOBENZAPRINE 10MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 500'S | 42 | 271.83 | Package Size Change | 2022-02-28 | ||
| 40 | B011EG | APO-LAMIVUDINE 150MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | B | 60'S | 83.02 | Add to Contract as Cat B | 2022-12-09 | |||
| 40 | 3621B | APO-LEVOCARB 10MG | 100MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 100'S | 240 | 17.26 | Add to Contract as Cat A | 2022-04-01 | ||
| 40 | 36227 | APO-LEVOCARB 25MG | 250MG TAB (APO/COL) | COL | 2022-04-01 | 2024-03-31 | A | 100'S | 240 | 27.18 | Add to Contract as Cat A | 2022-04-01 | ||
| 40 | 5842BP | APO-LISINOPRIL 20MG TAB (APO/COL) | COL | 2022-05-23 | 2024-03-31 | A | 100'S | 60 | 8.15 | Add to Contract as Cat A | 2022-05-23 | ||
| 40 | 5843DF | APO-RAMIPRIL 2.5MG CAP (APO/COL) | COL | 2022-07-27 | 2024-03-31 | A | 3X10 | 30 | 2.15 | Price Change | 2022-07-26 | ||
| 40 | 5281BV | APROCIN 0.3% EYE DR (ARP/AHI) CIPROFLOXACIN | AHI | 2022-04-01 | 2022-09-30 | BH | 10ML | 0 | 8.15 | 2022-03-29 | |||
| 40 | 1421CF | ARAMOL 500MG TAB (CAR/COL) PARACETAMOL | COL | 2022-06-30 | 2024-03-31 | A | 500'S | 180 | 14.78 | Add to Contract as Cat A | 2022-06-30 | ||
| 40 | A3939 | AROFLO 125MCG | 25MCG INHR (ARP/AHI) FLUTICASON | AHI | 2022-04-01 | 2022-06-30 | A | 120 DOSES | 1 | 21.67 | 2022-03-29 | |||
| 40 | A396A | AROFLO 250MCG | 25MCG INHR (ARP/AHI) FLUTICASON | AHI | 2022-04-01 | 2022-06-30 | A | 120 DOSES | 1 | 32.27 | 2022-03-29 | |||